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IPACHTE# Harnett County Department of Public Health 2 5 5 8 8 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: MM,KS 'z ISSUED TO: t,eILA-L- "lkor,6s l-L SUBDIVISION woa.a LOT # C-j~ NEWX REPAIR ❑XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Proposed Wastewater System Type: ~tl N Al Projected Daily Flow: 3~0© GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes X No Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community A Public ❑ Well Distance from well )'.00 feet Permit valid for, Five years Permit conditions: ❑ No expiration Authorized State Agent:: ~ Date: o`S SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issua o er permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This site is subject to revocation if the site plan, plat, or the intended use changes. The Improvem mit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of In"N the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.. Construction Authorization (Required for Building Permit) The construction and installation requirements of Rules .1950, 1952, .1954, .1955, .1956, .1957, .1958, and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance with the attached system layout ISSUED TO: Qt-AC.u-tis Nor,Es 1Nrs Facility Type: Basement? ❑ Yes X No Type of Wastewater System** (See note below, if applicable ((Ba^asement Fixtures? `-G N -4 ( PROPERTY LOCATION: M ~2Y 5 SUBDIVISION k-)-,sKg-'aaU LOT # 5 New ❑ Expansion ❑ Repair ❑ Yes No N ~>,L- (Initial) Wastewater Flow: 3(-'0 GPD &S')- RtrouclC\0 N ~J-,►s-SE~ (Repair) Installation Requirements/Conditions Number of trenches 5 Septic Tank Size s e2! so gallons Exact length of each trench (00 Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: Sid (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: feet Trench Spacing: Feet on Center Soil Cover inches inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: inches below pipe a inches above pipe Q- inches total **If applicable: / understand the fystem type specified if different from the type specified on the app/ration. / accept the rpeciflWions of this permit Owner/legal Representative Signature: Date: This Construction Authonzation is subject caQfthe e n, p lat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This Construction Authorization i i-O e o compliance v s o Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Date: a H o r ion Authorization Expiration Date: E HTE # 0c~ - S -J-1:45LA5 Permit # ~S 5-n Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: QO ISSUED T0: l~vc. SUBDIVISION LOT # 5a. Authorized State Agent: (pz_,v- o r~ Date:, 0~ tct5 c. r.' gsti4r--i-oop way jepcami d11tu1 CtrvUWUrrdrR, r,dmtih erru NdWrdl rndsuurt.do unddt. )ivision of Environmental Health Property 10: On-site Wastewater Section Lot * File tl: SOILSITE EVALUATION Code: for OV-SITE WASTEWATER SVSTE`I Owner: Applicant: Address: 1949): 0 Design Flow ( Proposed Facility: 3 g ~ ~M ~_Nv . Location of Site: Water Supply: ~Pubik [ J Individual Well Evaluation Method: 'p4,Auget Boring [ 1 Pit Type of Wastewater },Sewage [ j Industrial Process Date Evaluated: Property Size: Property Recorded: [ 1 spring [ j Other r; [ ) Cut Mixed P R 0 F SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS L E l .1940 Lsrtdecape PosNIW g ! Horizon Depth IN. .1941 shucturel T4Xk" .1941 Constance mirwallogy .1942. 801 Wetr"Ne Color .1945 Sol D"Ith IM.) .056 Sapnt. Clan .1944 Real ' Hods . Prof . Cis" a LTAR L~ p-a6 G vra ~ tvl? P'$ I J6 V:Q_ 5!5 LN L vn_ Sr ~SP NONXLnv 13, 3 1~ 4~ st_t_ Ch ~5 . ~.-.s Pct Description initial System- Repair System Available Space (.1945) Gvntem Tvoetsl Got- Other Factors (.1946): Site C1353iflc3tion (.1948): 5 y Evaluated By:Cr,